沈阳市中学生超重与肥胖患病现况及影响因素

Current situation and influential factors of overweight and obesity among middle school students in Shenyang

目的了解沈阳市中学生超重与肥胖现况及影响因素,为制定肥胖防治措施提供依据。方法利用中国七城研究项目:中国境内烟草使用与控制和生活方式的研究中沈阳市中学生健康行为调查和身体测量资料,依据体重指数(BMI)采用中国肥胖工作组(WGOC)判定标准筛查超重、肥胖。结果超重与肥胖的粗患病率分别为13.5%,8.6%;多因素Logistic回归分析发现,城乡、经济状况、喜可乐饮料、喜甜食、兄妹多和运动少是超重/肥胖有显著意义的因素,OR值分别为0.8、1.1、0.8、1.1、0.5、1.2。结论沈阳中学生超重与肥胖率高于全国平均水平,接近欧美发达国家水平;运动不足、饮食结构不合理等不良生活方式是造成中学生超重肥胖的主要影响因素;中学生严重缺乏超重与肥胖相关知识。

Objective To learn the prevalence rate of overweight and obesity and explore influential factors among middle school students in Shenyang. Methods Data were collected from research in Shenyang on China seven cities study （CSCS） ： A Study of Tobacco Use and Control and Lifestyles in China. Results The prevalence rates of overweight and obesity were 13.5 % ,8.6 % respectively. The results of the multi-factors Logistic regression analysis showed that major factors of overweight and obesity were urban and rural, household wealth, takes in sweetmeat and sweet drink, to have brothers or sis- ters and insufficient sport, the OR value were 0.8, 1.1, 0.8, 1.1, 0.5, 1.2 respectively. Conclusions Overweight and obesity is a major public health problem of adolescents in Shenyang. The main factor of overweight and obesity is unhealthy life style, which is lack of exercise, unhealthy structure of diet. The middle school student is short of knowledge of overweight and obesity.